PCN - DES Agreement & Requirements
To become a network, practices will need to complete a short submission to the CCG as part of the DES. This will require the names and codes for each practice within the network, the total network list size (ie sum of member practices’ lists), a map marking the network area, the name and details of the single provider to receive funding, the name and details of the clinical director, and the initial Network Agreement (signed by each practice).
The network agreement outlines what decisions the network has made about how they will work together, which practice will deliver what (for specific packages of care), how funding will be allocated between practices, how the new workforce will be shared (including who will employ them) etc. This agreement may be amended/update over time with the agreement of member practices, and as new services, workforce and funding become available. The Mandated PCN agreement has been developed by NHSE and the BMA and is intended to be general enough to cover all the issues needed for all PCNs. It however includes schedules that must be determined and completed by each PCN coverings areas such as local finance and governance arrangements.
Requirements (and associated funding) for the Extended Hours Access DES (currently undertaken by practices) will move to the Network, which will be responsible for ensuring the equivalent coverage for 100% of the network population. Increasingly, and by 2021 for all areas, this activity will be aligned with the evening and weekend services currently funded in each area of the country through £6 per patient Improving Access scheme and both will be under the direction of the network. It is important to remember that the PCNs responsibility will be to ensure that the service is provided for the population but not necessarily provide it itself.
From 2019, the DES specification will require networks to outline how they will provide specific support for those in care homes, undertake medication reviews, improve personalisation and anticipatory care, and how data will be shared within the network.
From 2020 onwards, additional requirements will be added around cancer care, prevention and inequalities, and CVD; although the details of these are still to be negotiated. These areas will be linked to the expanded workforce employed by the network.